Consensus-based guidelines for Video EEG monitoring in the pre-surgical evaluation of children with epilepsy in the UK

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Authors

  • Ronit M. Pressler
  • Stefano SeriORCiD: http://orcid.org/0000-0002-9247-8102
  • Nick Kane
  • Tim Martland
  • Sushma Goyal
  • Anand Iyer
  • Elliott Warren
  • Lesley Notghi
  • Peter Bill
  • Rachel Thornton
  • Richard Appleton
  • Sarah Doyle
  • Sarah Rushton
  • Alan Worley
  • Stewart G. Boyd
  • CESS Clinical Neurophysiology working group

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Abstract

PURPOSE: Paediatric Epilepsy surgery in the UK has recently been centralised in order to improve expertise and quality of service available to children. Video EEG monitoring or telemetry is a highly specialised and a crucial component of the pre-surgical evaluation. Although many Epilepsy Monitoring Units work to certain standards, there is no national or international guideline for paediatric video telemetry.

METHODS: Due to lack of evidence we used a modified Delphi process utilizing the clinical and academic expertise of the clinical neurophysiology sub-specialty group of Children's Epilepsy Surgical Service (CESS) centres in England and Wales. This process consisted of the following stages I: Identification of the consensus working group, II: Identification of key areas for guidelines, III: Consensus practice points and IV: Final review. Statements that gained consensus (median score of either 4 or 5 using a five-point Likerttype scale) were included in the guideline.

RESULTS: Two rounds of feedback and amendments were undertaken. The consensus guidelines includes the following topics: referral pathways, neurophysiological equipment standards, standards of recording techniques, with specific emphasis on safety of video EEG monitoring both with and without drug withdrawal, a protocol for testing patient's behaviours, data storage and guidelines for writing factual reports and conclusions. All statements developed received a median score of 5 and were adopted by the group.

CONCLUSION: Using a modified Delphi process we were able to develop universally-accepted video EEG guidelines for the UK CESS. Although these recommendations have been specifically developed for the pre-surgical evaluation of children with epilepsy, it is assumed that most components are transferable to any paediatric video EEG monitoring setting.

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Details

Original languageEnglish
Pages (from-to)6-11
Number of pages6
JournalSeizure
Volume50
Early online date12 May 2017
DOIs
Publication statusPublished - Aug 2017

    Keywords

  • Journal Article

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